Skip to main content

Copenhagen Consensus on Acromio-Clavicular Disorders

  • Chapter
  • First Online:
Shoulder Concepts 2013: Consensus and Concerns

Abstract

The acromio-clavicular (AC) articulation has received increasing attention the last years. New techniques to re-establish normal function after dislocations have been developed, and arthroscopic techniques for cases of arthritis has been established. The ISAKOS Upper Extremity Committee met in Copenhagen in June 2010 in an attempt to bring conclusions for a consensus on current diagnosis and treatment of AC-joint disorders.

ISAKOS Upper Extremity Committee: Vicente Gutierrez, Mauricio Gutierrez, Giovanni di Giacomo, Ettore Taverna, Alex Castagna, Eiji Itoi, Jaap Willems, Steven Cohen, David Lintner, Benno Ejnismann

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 84.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 109.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Stine IA, Vangsness CT Jr (2009) Analysis of the capsule and ligament insertions about the acromioclavicular joint: a cadaveric study. Arthroscopy 25(9):968–974

    Article  PubMed  Google Scholar 

  2. Dawson PA, Adamson GJ, Pink MM, Kornswiet M, Lin S, Shankwiler JA, Lee TQ (2009) Relative contribution of acromioclavicular joint capsule and coracoclavicular ligaments to acromioclavicular stability. J Shoulder Elbow Surg 18(2):237–244

    Article  PubMed  Google Scholar 

  3. Ludewig PM, Phadke V, Braman JP, Hassett DR, Cieminski CJ, LaPrade RF (2009) Motion of the shoulder complex during multiplanar humeral elevation. J Bone Joint Surg Am 91(2):378–389

    Article  PubMed  Google Scholar 

  4. Sahara W, Sugamoto K, Murai M, Tanaka H, Yoshikawa H (2006) 3D kinematic analysis of the acromioclavicular joint during arm abduction using vertically open MRI. J Orthop Res 24(9):1823–1831

    Article  PubMed  Google Scholar 

  5. McClure PW, Michener LA, Sennett BJ, Karduna AR (2001) Direct 3-dimensional measurement of scapular kinematics during dynamic movements in vivo. J Shoulder Elbow Surg 10(3):269–277

    Article  PubMed  CAS  Google Scholar 

  6. Mazzocca AD, Santangelo SA, Johnson ST, Rios CG, Dumonski ML, Arciero RA (2006) A biomechanical evaluation of an anatomical coracoclavicular ligament reconstruction. Am J Sports Med 34(2):236–246

    Article  PubMed  Google Scholar 

  7. Salzmann GM, Walz L, Buchmann S, Glabgly P, Venjakob A, Imhoff AB Arthroscopically assisted 2-bundle anatomical reduction of acute acromioclavicular joint separations. Am J Sports Med 38(6):1179–1187

    Google Scholar 

  8. Bonsell S, Pearsall AWt, Heitman RJ, Helms CA, Major NM, Speer KP (2000) The relationship of age, gender, and degenerative changes observed on radiographs of the shoulder in asymptomatic individuals. J Bone Joint Surg Br 82 8:1135–1139

    Google Scholar 

  9. Shubin Stein BE, Ahmad CS, Pfaff CH, Bigliani LU, Levine WN (2006) A comparison of magnetic resonance imaging findings of the acromioclavicular joint in symptomatic versus asymptomatic patients. J Shoulder Elbow Surg 15(1):56–59

    Article  PubMed  Google Scholar 

  10. Stein BE, Wiater JM, Pfaff HC, Bigliani LU, Levine WN (2001) Detection of acromioclavicular joint pathology in asymptomatic shoulders with magnetic resonance imaging. J Shoulder Elbow Surg 10(3):204–208

    Article  PubMed  CAS  Google Scholar 

  11. Smith TO, Chester R, Pearse EO, Hing CB (2011) Operative versus non-operative management following Rockwood grade III acromioclavicular separation: a meta-analysis of the current evidence base. J Orthop Traumatol 12(1):19–27

    Article  PubMed  Google Scholar 

  12. Taft TN, Wilson FC, Oglesby JW (1987) Dislocation of the acromioclavicular joint. An end-result study. J Bone Joint Surg Am 69(7):1045–1051

    PubMed  CAS  Google Scholar 

  13. Charron KM, Schepsis AA, Voloshin I (2007) Arthroscopic distal clavicle resection in athletes: a prospective comparison of the direct and indirect approach. Am J Sports Med 35(1):53–58

    Article  PubMed  Google Scholar 

  14. Levine WN, Soong M, Ahmad CS, Blaine TA, Bigliani LU (2006) Arthroscopic distal clavicle resection: a comparison of bursal and direct approaches. Arthroscopy 22(5):516–520

    Article  PubMed  Google Scholar 

  15. Rockwood (1984) Injuries to the acromioclavicular joint: subluxa- tions and dislocations about the shoulder. In: Rockwood CA Jr GD, Lippincott JB (eds) Fractures in adults. Philadelphia, pp 860–910

    Google Scholar 

  16. Mazzocca AD, Spang JT, Rodriguez RR, Rios CG, Shea KP, Romeo AA, Arciero RA (2008) Biomechanical and radiographic analysis of partial coracoclavicular ligament injuries. Am J Sports Med 36(7):1397–1402

    Article  PubMed  Google Scholar 

  17. Tamaoki MJ, Belloti JC, Lenza M, Matsumoto MH, Gomes Dos Santos JB, Faloppa F (2010) Surgical versus conservative interventions for treating acromioclavicular dislocation of the shoulder in adults. Cochrane Database Syst Rev 8:CD007429

    Google Scholar 

  18. Trainer G, Arciero RA, Mazzocca AD (2008) Practical management of grade III acromioclavicular separations. Clin J Sport Med 18(2):162–166

    Article  PubMed  Google Scholar 

  19. Cote MP, Wojcik KE, Gomlinski G, Mazzocca AD (2010) Rehabilitation of acromioclavicular joint separations: operative and nonoperative considerations. Clin Sports Med 29 2:213–228, vii

    Google Scholar 

  20. Trainer G, Arciero RA, Mazzocca AD (2008) Practical management of grade III acromioclavicular separations. Clin J Sport Med 18(2):162–166

    Article  PubMed  Google Scholar 

  21. Mazzocca AD, Arciero RA, Bicos J (2007) Evaluation and treatment of acromioclavicular joint injuries. Am J Sports Med 35(2):316–329

    Article  PubMed  Google Scholar 

  22. Geaney LE, Miller MD, Ticker JB, Romeo AA, Guerra JJ, Bollier M, Arciero RA, DeBerardino TM, Mazzocca A (2010) Management of the failed AC joint reconstruction: causation and treatment. Sports Med Arthrosc 18(3):167–172

    Article  PubMed  Google Scholar 

  23. Tischer T, Salzmann GM, El-Azab H, Vogt S, Imhoff AB (2009) Incidence of associated injuries with acute acromioclavicular joint dislocations types III through V. Am J Sports Med 37(1):136–139

    Article  PubMed  Google Scholar 

  24. Carofino BC, Mazzocca AD (2010) The anatomic coracoclavicular ligament reconstruction: surgical technique and indications. J Shoulder Elbow Surg 19(2 Suppl):37–46

    Article  PubMed  Google Scholar 

  25. Rios CG, Arciero RA, Mazzocca AD (2007) Anatomy of the clavicle and coracoid process for reconstruction of the coracoclavicular ligaments. Am J Sports Med 35(5):811–817

    Article  PubMed  Google Scholar 

  26. Salzmann GM, Paul J, Sandmann GH, Imhoff AB, Schottle PB (2008) The coracoidal insertion of the coracoclavicular ligaments: an anatomic study. Am J Sports Med 36(12):2392–2397

    Article  PubMed  Google Scholar 

  27. DeBerardino TM, Pensak MJ, Ferreira J, Mazzocca AD (2010) Arthroscopic stabilization of acromioclavicular joint dislocation using the AC graftrope system. J Shoulder Elbow Surg 19(2 Suppl):47–52

    Article  PubMed  Google Scholar 

  28. Walz L, Salzmann GM, Fabbro T, Eichhorn S, Imhoff AB (2008) The anatomic reconstruction of acromioclavicular joint dislocations using 2 tight rope devices: a biomechanical study. Am J Sports Med 36(12):2398–2406

    Article  PubMed  Google Scholar 

  29. Boileau P, Old J, Gastaud O, Brassart N, Roussanne Y (2010) All-arthroscopic Weaver-Dunn-Chuinard procedure with double-button fixation for chronic acromioclavicular joint dislocation. Arthroscopy 26(2):149–160

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Klaus Bak .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2013 ISAKOS

About this chapter

Cite this chapter

Bak, K. et al. (2013). Copenhagen Consensus on Acromio-Clavicular Disorders. In: Arce, G., et al. Shoulder Concepts 2013: Consensus and Concerns. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-38097-6_7

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-38097-6_7

  • Published:

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-38096-9

  • Online ISBN: 978-3-642-38097-6

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics